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通过神经肌肉电刺激在重症监护中静脉血液动力学的时间变化的影响:一个前性的"单中心"自我控制研究

Lixiang Ye¹, Yubo Li², Chengcheng Su¹

¹Shandong Second Medical University, Weifang City, China.

Scientific reports

|December 3, 2025

概括

神经肌肉电刺激 (NMES) 在重症监护室 (ICU) 患者中显著增加了下肢静脉血流. 血液动力学参数在NMES治疗1小时后平稳,并在停止后1小时内恢复到基线.

科学领域:

生理学生理学生理学
医疗工程医疗工程
密集护理医学密集护理医学

背景情况:

重症监护病房 (ICU) 的患者往往会经历运动能力下降,导致潜在的并发症,如深静脉血栓形成.
神经肌肉电刺激 (NMES) 是一种非侵入性技术,可以诱导肌肉收缩,可能改善血液循环.
了解NMES在ICU环境中的血液动力学影响对于优化患者护理和预防不良事件至关重要.

研究的目的:

在ICU患者中,在神经肌肉电刺激 (NMES) 期间和之后,研究尾静脉血动指数的时间变化.
评估NMES的可行性和安全性,作为一种干预措施,以增强严重病患者的下肢静脉血流.

主要方法:

40名ICU住院患者接受了NMES干预.
使用多普勒超声波测量了状静脉的血液动力指数,包括峰值流速 (PFV),峰值血流 (BFV) 和血管直径.
在 (0.5,1,1.5,2小时) 之前,在 (0.5,1小时) 和在 (0.5,1小时) NMES之后进行测量,以分析时间变化.

主要成果:

与基线相比,NMES显著增加了民静脉PFV和BFV (p < 0.001).
在NMES0.5小时后 (p <0.05) 形静脉直径显著增加.
血液动力学参数在NMES治疗1小时后平稳,并在停止后1小时内恢复到基线水平.

结论:

在ICU患者中,NMES有效地加速了下肢静脉血流,证明了可行性和安全性.
观察到的血液动力学变化在NMES应用1小时后停滞不前,并且在停止治疗后可逆.
这些发现为NMES在危急病患者的血液循环管理中的临床应用提供了宝贵的见解.

关键词:

血液动力学血液动力学在重症监护病房的重症监护病房.神经肌肉电刺激是一种神经肌肉电刺激.物理治疗是物理治疗.静脉流动是一种静脉流动.

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